Evidence map›Paper›PMID 37429734›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2023

Treatment burden for people experiencing homelessness with a recent non-fatal overdose: a questionnaire study.

Caitlin Jones, Frances S Mair, Andrea E Williamson, Andrew McPherson, David T Eton, Richard Lowrie

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Caitlin JonesGP registrar and Scottish Clinical Research Excellence Development Scheme (SCREDS) post holder 2021-2023.ORCID 0000-0003-3303-172X
Frances S MairSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-9780-1135
Andrea E WilliamsonSchool of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-8981-9068
Andrew McPhersonGlasgow Pharmacy Services, NHS Greater Glasgow and Clyde, Glasgow, UK.ORCID 0000-0001-9961-2338
David T EtonSocial and Behavioural Science, National Cancer Institute, National Institutes of Health, Bethesda, MD, US.ORCID 0000-0001-8715-1511
Richard LowrieGlasgow Pharmacy Services, NHS Greater Glasgow and Clyde, Glasgow, UK.ORCID 0000-0002-6440-9089
NHS Greater Glasgow and Clyde · GBNational Institutes of Health · USScottish Government · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople experiencing homelessness (PEH) who have problem drug use have complex medical and social needs, with barriers to accessing services and treatments. Their treatment burden (workload of self-management and impact on wellbeing) remains unexplored.

aimTo investigate treatment burden in PEH with a recent non-fatal overdose using a validated questionnaire, the Patient Experience with Treatment and Self-management (PETS). DESIGN AND

settingThe PETS questionnaire was collected as part of a pilot randomised control trial (RCT) undertaken in Glasgow, Scotland; the main outcome is whether this pilot RCT should progress to a definitive RCT.

methodAn adapted 52-item, 12-domain PETS questionnaire was used to measure treatment burden. Greater treatment burden was indicated by higher PETS scores.

resultsOf 128 participants, 123 completed PETS; mean age was 42.1 (standard deviation [SD] 8.4) years, 71.5% were male, and 99.2% were of White ethnicity. Most (91.2%) had >5 chronic conditions, with an average of 8.5 conditions. Mean PETS scores were highest in domains focusing on the impact of self-management on wellbeing: physical and mental exhaustion (mean 79.5, SD 3.3) and role and social activity limitations (mean 64.0, SD 3.5) Scores were higher than those observed in studies of patients who are not homeless.

conclusionIn a socially marginalised patient group at high risk of drug overdose, the PETS showed a very high level of treatment burden and highlights the profound impact of self-management work on wellbeing and daily activities. Treatment burden is an important person-centred outcome to help compare the effectiveness of interventions in PEH and merits inclusion in future trials as an outcome measure.

Indexed as

Drug OverdoseIll-Housed PersonsSelf-ManagementAdultFemaleHumansMaleScotlandSurveys and Questionnairesburden of illnessdrug overdosehomelessnessmultimorbidityprimary health caresurveys and questionnaires

Identifiers

PMID37429734
PMCPMC10355813
OpenAlexW4377244856

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.